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Active NPI 1639854276 Individual Practitioner Female Practitioner

Dr. Su Min Maddy , DMD

Dentist - General Practice • Clovis, NM

Professional Overview & Biography Verified Profile Summary

Dr. Su Maddy, DMD is a registered healthcare professional specializing in Dentist - General Practice in Clovis, NM. Practice services are available at 821 LEXINGTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

821 Lexington Rd

Clovis, NM 881014466

Telephone 5757622355
Associated Practice Facility / Clinic
🏢 Summit Imaging Llc Facility NPI 1497855381

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Clovis, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
20 Specialists

Practicing in Clovis, NM (761 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NM DB-2023-0127

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Drew Maddy , DMD

Dentist - General Practice

NPI 1801571443

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated July 12, 2023

Recorded as SU MADDY, DMD

✅
NPI Profile Active June 20, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2023

Registered at 821 LEXINGTON RD, CLOVIS, NM 881014466 (Tel: 5757622355)

📍
Updated Business Mailing Address June 20, 2023

Registered at 821 LEXINGTON RD, CLOVIS, NM 881014466 (Tel: 5757622355)

👤
Provider Name / Credentials Updated June 20, 2023

Recorded as SU JEONG, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2023

Dentist (License #DB-2023-0127 in NM)

🟢
Initial NPI Registration & Enumeration June 20, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639854276
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2023
Last Update: July 12, 2023
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

821 Lexington Rd

Clovis, NM 881014466

Phone: 5757622355

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.